Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Shreya Patel , MA CCC-SLP

Speech-Language Pathologist β€’ Bartow, FL

Active NPI 1275093478 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

2055 E Georgia St
Bartow, FL 338306799

Call 8635330578 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2055 E Georgia St

Bartow, FL 338306799

Telephone 8635330578
Organization at the Same NPPES Address or Phone
Bartow Rehabilitation Center, Llc Facility NPI 1215938444

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Coppell, TX. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Legacy Healthcare Services Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2014

Years since graduation

12 years (graduated 2014)

CMS Doctors and Clinicians data list 2014 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Shreya Patel has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Bartow and Florida

6 active clinicians are listed under Speech-Language Pathologist with a practice address in Bartow, FL (11,513 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-11-21
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES FL 16564

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST

Medicare Enrollment ID

I20250731000346

Enrollment State Jurisdiction

UT

PECOS Control ID

3072020254

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Legacy Healthcare Services Inc

10569 S River Heights Dr, South Jordan, UT 840955925

Phone: 8552393467

Secondary Practice Locations

8840 Cypress Waters Blvd

Coppell, TX 750194594

Phone: 4695241506

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Jheanelle Glevis , APRN

Nurse Practitioner - Family

NPI 1730845942

Advanced Practice Registered Nurse

Lakota Hillis , PT

Physical Therapist

NPI 1235404898

Physical Therapist

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Business Mailing Address November 21, 2023

Registered at 2055 E GEORGIA ST, BARTOW, FL 338306710 (Tel: 8635330578)

βœ…
NPI Profile Active March 22, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 22, 2019

Registered at 2055 E GEORGIA ST, BARTOW, FL 338306799 (Tel: 8635330578)

πŸ“
Business Mailing Address (Initial Record) March 22, 2019

Registered at 3 EVERGREEN RD, HIGGANUM, CT 064415402 (Tel: 2039934176)

πŸ‘€
Provider Name / Credentials (Initial Record) March 22, 2019

Recorded as SHREYA PATEL, MA CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2019

Speech-Language Pathologist (license number reported to NPPES: FL 16564)

🟒
Initial NPI Registration & Enumeration March 22, 2019

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1275093478
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2019
Last Update: November 21, 2023
Sole Proprietor: Yes

Mailing Address

2055 E Georgia St

Bartow, FL 338306710

Phone: 8635330578

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.